Julie M Wadena, RN, BSN, SANE-P

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

35475 Issued in MN

Practice address

3078 Workforce Center Rd.
Mahnomen, MN 56557

Phone

(218) 935-3621

NPI assigned

Feb 24, 2025

Last updated

Feb 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1255137733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24582 370TH ST",
            "city": "WAUBUN",
            "state": "MN",
            "postal_code": "565899399",
            "telephone_number": "218-261-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3078 WORKFORCE CENTER RD.",
            "city": "MAHNOMEN",
            "state": "MN",
            "postal_code": "56557",
            "telephone_number": "218-935-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADENA",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "RN, BSN, SANE-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": "35475",
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MN",
            "license": "2502950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Mary's Regional Health Center (Essentia Health St. Mary's - Mahnomen Clinic)
• Austin Steichen, PHARMD, BCPS
• Mia Thompson
• Thrifty Drug Stores Inc (Thrifty White Pharmacy #752)
• Kagen Arthur Waage
• White Earth Band of Chippewa
• White Earth Band of Chippewa (White Earth Womens Welbrity Center)
• White Earth Band of Chippwa Indians (White Earth Men's Substance Abuse Primary Care)
• White Earth Band of Ojibwe (MOMS Program)
• White Earth Tribal Health Systems (Naytahwaush Health Center)

• Community Health Registered Nurse in Mahnomen, MN
• Providers in Mahnomen, MN by specialty
• Community Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.